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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS OWNEi BUILDEN DELCAR TION
<br />I h.r.h, llltn uLl$ IrEhy or Frjtry rhi I d crqr rNn tlE GnrrNrn LEn{ Ls ntr rh. ('[nwm8 R.$. (S.c. ]l.t
<br />ItunB$ .ll Pmfcrt$n CtL): A., Cny or Cd'r, ,hrh ral!6r . p..d (r o.<dd. rlt6. r,tnE. d.Bnsh or GFr ry
<br />{rudurc. rrtr n' s r$u.E-.. rle r.qurci rh. {'du ntr 3uh Fmi h 6t . sl8EJ nc.mr rh,lrd dr 61f,6$J tx,s.m
<br />h rtr,n,vhFrs ol rl* Conlla.ntr! l.iccn{J L* (Chrfl.r 9, coliwh68 v'th Selih ?(xI) ol Diyni.n I ol rlE Burimn .".1
<br />IhrLsi'.r cd. ) or rhrr h. or rlE N .r.r!* rlEch)fr .nd rhc h.tn ntr rh. .llcgcn cicnlii(tn. Any vbLoon of set$n 701 I 5 by rn,
<br />rprltrrnr lor r Fmr rubFi. rrr .I?hrhr !d r ovrl JEMIi! or 'Fr mE lh.n nrc hu*]Gd Llollir (tJ@)
<br />Lds o*Mr oI th. FaFn y, o. my cmsloyes w i w4ca ri rh.t ,,L onltMran, w'li do lh. *ut rn llr sr r@Bmr
<br />dBl(i or{nir.J lrtr sLlS(.?O1,1. Bnriftis J Pll)fEsotu (itl.: TrE O'drr.ntr r Li.cnE ll* &tr nor +ll, !' dr owEr .f
<br />rh. F'Fn! vh' t! {r d inln'B rc4 ol wlr) E fi urt hm€lf or h..*lf ot lrBr3h hr t h.t oq.ir{ ,,yc.r.
<br />I'B,viJ.J rhar \u(h irnlinrwn6 c n fl.nGl d .liftl nn d. II. hoEE. tlI ttrrljir* ,r uqnkdr 6 hU *rlin ,ft Fg
<br />or on{rLrD., llr o*Br Bu d.r wdl h{€ rtE hunLr orF)vuu rhd lr or nE drl nn ll!!! or irrI! r 0F FFlt ftr trr F,FE oa
<br />_1. N o*nd d, rh. fnll.dr, m cr(lusiv.l, o.raro3 lith l(rtrcJ rodrkn,u n' d,nitur rlE F,r..r (Fq 7(ll.l. BulllIs
<br />rrn hft:srn C,xt r Th. Contrr.k 's Ln .n$. I-rw d.cs ml .rrrly n, an owncr of pon n y wlD hliUr or hrnrs rh.tdrn,
<br />,d *lrr lrmrEk nx u'h I'l Fk wnh r G)nr6.-t,(, li..n*J |[B[d b rh. ci'.r(ktr's
<br />_l
<br />ML L
<br />DECiLdSdltQN
<br />LEfth! .fftrm unLr,EE,ry ol FIry om ot tlE f(nbw6! &.lr[tiont:
<br />_l hrv. id wnl mimarh r Ccd 'frri. oI cl,r$ ll, S.lf- lNurc ror qxk6 conrEn$lirr .r FJBldl ld l, S..ri,n lru of rlt
<br />tllt, Grk, n, x Frfl,flRr or rh. *od n, wh.h th. Fnil ! rs.ucd.
<br />_l hN . l uill mirtrin ro.kc* .ori{ttrarion iNUr.E., E r.1tural h, Sdrrr]](D.r rtE lltir c!$. nr lll FfimB. of
<br />r *fi fttr Ehrh rhs Fm R rrEl. My worl on{xnsdion nsurrtu. ceElgi Fni.y nuhlE e:
<br />_l .cniry thi in rlI Fnartutu. or rh. *orl rd *hrh this tErm' n inE{. I sh.ll B, .rq 'y
<br />rny Fv, in rny tunffi
<br />$ s b b(!m subr.l Io rh. *orksr (drrEn$lon L*s .f C.hnmi., ml .ae rhl
<br />',
<br />I rl$uLl hc.om suhFt t, tlt
<br />*orli(r .omnd$rnnpn!!rx)n\olSNri,n.r7(t)of rh.ljhtrCnl..l Lrrh$nh (.trl|]ly !iih rhrc nn,$r'!\
<br />Uvd lln.s ul) r. oE h! r.d rh1,us'.Id.lla (1100,(
<br />!,)[!I^!r].Ir!
<br />I lrrhy .lrnm utottr FMliy or lErJury rh.r I .s $*i u c. F vrk'n oi Chrprd 9 ( rmtutu rFv hSerin 7I(,)ol DrvA!)n I
<br />of ltE BulEr! .d PolirlbB C.iL. n! n, li.hr B s tull ftr\. !n .fldr
<br />LNn* CLs\:-
<br />lhl.'- Cohlrylor
<br />-
<br />CONSTRUC'TION LrNDIN(I GFNCY
<br />I tsb, rrrnm lnkr JrtuI y ot FJ!ry rh{ rh.rc r r .ln(ruLtrn lalin3 .fcfty ntr rll. t'ctlom^.'c of rh. *orl tu. wh(h rhs ,Emd i!
<br />xsu.al {*L tlrT Civ C I
<br />ATTI.ICANLDECIIsAIA!
<br />I h@t't .ltim unj$ Fn.lry of lErjury oE ol rix ioll,* n3 J.{l'rrr!
<br />Ixn{lrn'o l,crdr}Ash.ios Notrtcrrfl F.J.nlR.8uhlNrr (T k.l0. P.n6)
<br />_R.q!rcd trlr.r I N<rdirlrh
<br />41.-,,
<br />rly rhrr rh. lc crsl '.Bnkri,n\ rgdinr arh.noi R nx,vrl a( tr l .t{ ( $h tr) thr ltn,i.r
<br />thJr llB\. r.r'l rh^r ,lf,rrn rcrlL rli.rhr. nornurtr{r N('Era !'! ndy * h.llC'ry;nJColnr,
<br />oR,m.tuc\lnd Strr. Ijvs rchrtl3 n' hq rhr of rhir C[ y .rn Coutrl, ro cnl6 uFn llI
<br />rh,vr nrnriftJ pnliny htr
<br />Applidnl o. AA.nl SiADlum Lr)
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />ln s u lation/Enerq y
<br />Drywall
<br />Ext-i lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Reporl
<br />Flood Zone Certif .
<br />35-zt r rz}hre .{L
<br />Certif icate of Occupancy
<br />Notes, Remarks, Etc.
<br />1.
<br />ID/SIG.
<br />FINAL
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